General Commentwell...it could be mix of two words...pills and pyramid...as we know, pyramids r built out of countless stones...maybe refering to countless painkilling pills Phil abused during Pantera-days and because of his spine...
just my opinion...oh yeah, and the song fucking kills!
hail down

General CommentStevara's pretty much got it. Another thing this song makes me think about is the food pyramid and how it seems that prescription drugs are becoming so common that they might as well be another food group but the truth is that they're not that necessary and the recommendation is just there so pharmaceutical companies can rake in some more cash. That doesn't seem to be part of the meaning of the song, but the wordplay gets me thinking about it.